| NPI | 1548299316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 006850) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 006850-1) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-05-19 |